Weekend Writing Prompt #93

wk-93-horizon


We met at a New Year’s Eve party.  Neither of us had a date.  We spent the entire evening together. We’re dating now but there’s one problem–she’s not Japanese.  Naturally, my parents are against our relationship, threatening to stop paying my tuition and disown me if, “you don’t stop seeing that girl and find yourself a nice Japanese girl.”

As the sun rises over the horizon, I decide I’d risk everything for love.

 

74 Words

This is for the Weekend Writing Prompt by Sammi Cox. For instructions, click HERE.

The Secret Relationship

Douglas was in the kitchen, stacking the dishwasher while she was in the living-room, admiring the décor and the beautiful patina of the antique table beside the fireplace and below a painting of a person walking along a tree-lined path in the rain.  She paused to admire it.

The myriad of bright oranges, reds and yellows suggested that it was in the fall.  The path and the bench were soaked from the pouring rain.   Yet, the walker looked dry underneath the umbrella and in no hurry to get out of the rain.  She wondered if she should come out of the rain before she got wet.  Douglas and she had been seeing each other for months now.  This was the first time they were at his place.  So far they had been going out but avoided places where they might run into people they knew.  They couldn’t afford to allow anyone to find out about them or Douglas could lose his job.  He was her Economics professor.

The moment she walked into his class and saw him, she knew she was in trouble.  She tried not to stare but it wasn’t easy.  She would shoot him furtive glances every opportunity she got and when the class was over, she would linger, spending a little long packing up her bag. Thankfully, his was the last class for the day so she didn’t have to rush off to the next one.

One afternoon when she was packing up her bag, he went over to her desk.  She glanced up and their eyes met.  He had the most incredible green eyes and his face–she realized that she was staring and quickly looked away.

“I’m going to grab a cappuccino,” he said quietly.  “Would you like to join me?”

She looked at him, her heart racing.  He was asking her outGet a hold of yourself, girl.  It’s just a cappuccino.  “Yes, I’d like to,” she answered.

He smiled.  “Good.  I’ll meet you at the front entrance.”

She zipped up her bag and left the classroom.  She waited on the steps, watching the sun set.  Five minutes later he drove up and stopped at the side of the curb.  She ran down the steps and got into his car.  They drove off.  On the way over to the coffee shop, he asked her what her major was.  “Sociology,” she said.  “I want to make a difference when it comes to the social problems that we face in our society and around the world such as poverty, race relations, gender inequality, globalization and environmental change.”

“When I tell people that I teach Economics, they look at me as if I were crazy.  Most people remember it as a very boring subject but when I explain to them that the course I teach is Urban Economics they become interested.”

They continued talking about university and courses until they arrived at an Italian cafe in Greenwich Village.  Over a Hazelnut Cappuccino and a Hot Chocolate, they talked about other things.

“Do you ice-skate?” he asked an hour and a half later when he was taking her home.

She nodded.

“Do you have any plans for tomorrow evening?”

She shook her head.

“We can go skating at Bryant Park and then have dinner at the restaurant there.”

They went to Bryant Park and she had a wonderful time.  It had been a while since she last skated and after a few shaky steps and falls, she was fine.  Afterwards they had dinner in the restaurant where it was nice and warm.  He asked to take her out the following evening and they began seeing each other regularly after that.

The sound of his footsteps behind her brought her back to the present.  She joined him on the sofa.  They were going to watch an old movie classic but she couldn’t concentrate.  She was intensely aware of him and the fact that they were sitting very closely together so that his knee was touching hers.  At one point she could sense that he was looking at her.  As the movie progressed, she was on tenterhooks, wondering if at any point, he was going to make a move and longing for him to.

Finally, unable to bear it any longer, she turned to look at him when she knew that he was watching her.  Their eyes met and held.  Deliberately, she lowered her gaze to his mouth and parted her lips.  Without saying a word, he reached for her and pulled her across his lap.  His head swooped down and he was kissing her.  Her arms went around his neck and held him tightly as they exchanged passionate kisses.

After a while, he raised his head and gazed down into her face, his own flushed.  “I’ve been a professor for ten years now and not once have I ever been attracted to any of my students.  Then, you walked into my classroom.  I didn’t want to be attracted to you but I couldn’t fight it.  I approached you at the risk of losing my job.”

She reached up and touched his face.  “I was never attracted to any of my teachers but the moment I saw you, I was in trouble.  Common sense told me to transfer to another class but I listened to my heart instead.”

“Robyn, I want us to continue seeing each other but under the quiet until you graduate.”

She nodded.  “Okay.”

“By the way, who was that guy I saw you talking to in the hallway on Thursday before you came to class?”

She tried to remember who he was talking about for a moment.  “Oh, that was Eric.”

“What did he want?” he asked tightly.

“He wanted to know if I was free Saturday night.”

His eyes darkened in jealousy.  “And what did you tell him?”

“I told him that I wasn’t.  I also told him that I was seeing someone.”

“I hate the idea of other guys asking you out.”

She reached up and kissed him.  “You don’t have to worry about any of them,” she murmured against his lips.  “They don’t stand a chance.”

Groaning, he kissed her back and then, putting his hands under her knees, he stood up and carried her to his room.

They managed to keep their relationship a secret and on the day of her graduation in June, he asked her to marry him.

mixed couple in love

Sources:  Thought.co; Huffington Post; University of Kent; NYU; Cafe Reggio

Mistress of Pembrook

She had walked through the gate at Pembrook Manor, stopping only for a moment to look back at the impressive mansion in the midst of the sprawling land that you could see for miles.  Somewhere in that imposing structure was the man she was running away from.  She knew he had returned from his business trip yesterday evening and she wanted to be out of the house before she risked running into him. He had sent Mrs.  Allen, the housekeeper to take her to the drawing-room to spend time with him but she told the kindly woman that she was not feeling well.  She knew that if she had accepted his invitation, her resolve to leave in the morning would have weakened.  After Mrs. Allen left, she packed her bags, her heart heavy.

She felt terrible about leaving Katie.  She had grown so fond of the little girl but she couldn’t stay another day at Pembrook, knowing that she must leave there soon any way when Mr. Middleton married Miss Young.  The thought of him and the beautiful daughter of Baron and Baroness Young filled her with such pain.  How foolish it was to fall in love with her employer, an man of nobility and whose station was so superior to hers, a mere governess.  And it had been even more foolish to think that he would have any regard for her even if Miss Young were  not in the picture.

It was beautiful, crisp morning.  The sun was just rising.  She felt no pleasure in it, though.  Countless of times she had walked this way with him and found great delight in doing so.  Tears stung her eyes as she hurried to the spot where she was to meet the coach.

“Going somewhere, Miss Evans?”

She stopped dead in her tracks, dropping her bags, her eyes large in her pale face, shocked to see her employer standing there.  “Mr. Middleton,” she gasped.  “What are you doing here?”

“I went for a walk.   And you haven’t answered my question.”

“I-I am going away.”

“That I can see but where are you going and for how long?”

She saw the carriage approaching and picked up her bags.  “I must leave Pembrook, Sir and return to my home from whence I shall not return.”

He came closer, his eyes troubled now.  “What do you mean?” he demanded.  “Why must you leave Pembrook and not return?”

With him so close, staring at her it was hard to remain resolute.  “You are to be married, Sir and I cannot remain at Pembrook when that happens.  So, the best thing for me to do is to leave.”

He grabbed her arms.  It was a firm grip but it did not hurt at all.  It was meant to secure her.  “You cannot leave,” he declared.  “I will not let you.”

“Sir, I must leave.  The coach is approaching.  I must catch it.”

He released her then but turned and strode toward the coach.  She hurried after him, desperate now to leave.  “The young lady will not be departing,” he told the driver.   Before she could say anything, the driver replied, “Very well, Sir,” turned around and drove off.

She was terribly upset now.  “Oh, Mr. Middleton, why did you send the coach away? My family is expecting to see me tomorrow afternoon.  I wrote and told them that I was coming home.”

“You can write and tell them that there has been a change of plans.”

Unable to hold it any longer, she dropped her bags, turned aside and ran into the woods, leaning heavily against the first tree she stumbled upon.  Mr. Middleton was immediately at her side. She pressed her hand against her mouth to prevent the sobs that rose in her throat but she couldn’t stop the tears.  “I cannot stay at Pembrook, Mr. Middleton,” she told him in a trembling voice.  “I cannot remain there when you are to be married to Miss Young.”

He looked puzzled.  “What the deuce are you talking about?  What is this talk of marriage between Miss Young and myself?”

She looked at him.  “Mrs. Allen intimated that there is soon to be an announcement of your nuptials.”

“Mrs. Allen is mistaken.  Miss Young and I have no plans to be wed.  It is the hope of my aunt that such a match should be forthcoming but alas for her, it is not to be. Miss Young’s affections are engaged elsewhere as are mine.”

She was relieved to hear that there was to be no marriage between Miss Young and him but who was the object of his affections?  “Mr. Middleton, nothing has changed. I am going to leave Pembrook as soon as other arrangements can be made.”

He took her by the shoulders and drew her to him.  “You are not going to leave Pembrook or me,” he insisted.  “You are going to stay there as my wife.”

She blinked at him, stunned.  “Your wife?” she repeated, dazed.

“Yes, my wife.  I love you, Miss Evans.  I fell in love with you the first moment I saw you but I hid my feelings because of convention.  Well, hang convention.  I want to marry you.”

“Oh, Mr. Middleton, I love you too.  I have loved you since the first time we met.  I never dreamed that you would harbor any romantic feelings toward me.  I am just an ordinary governess who has nothing to recommend her to you, except her deep love and fidelity.”

He held her face between his hands, his eyes shone with the love he had suppressed for so long.  “You have made me the happiest man in Hartfordshire Country.” He kissed her.  “Let us go home,” he said as he raised his head.  “Let us go back to Pembrook where you shall soon be Mistress.”

the-new-governess

World Leprosy Day

Tens of thousands of people in the world suffer from leprosy, a bacterial infection which affects the skin and destroys nerves.  Since the disease affects the nervous system, the affected areas become numb. People suffering from leprosy cannot feel pain and can easily hurt or injure themselves.  These injuries can become infected and result in tissue loss.  I remember reading about a missionary who put one of his feet in a pan of boiling water and didn’t even feel any pain.  It was then that he realized that he had leprosy.

The stigma that comes from having leprosy can be worse than the disease itself.  People with leprosy are outcasts. Their relatives believe that they are cursed.  Their lives are filled with loneliness and pain. People avoid them.  This happened to Balwant.  He was in his 30s when he discovered that he had leprosy.  He had white patches on his leg that itched and then became numb.  

Leprosy, if left untreated, can cause serious damage and leave a person disfigured.  Balwant and others like him feel ostracized and humiliated.  They are denied access to common wells or prevented from participating in festivals because people are afraid of the risk of contagion.  Family members reject them because they don’t want to catch the disease or be socially rejected because of those affected.  Some people even believe that when a person has leprosy he or she is being punished by the gods for past sins.  So, they avoid those who are affected because they don’t want to the wrath of the gods to fall upon them.

Balwant ended up losing his leg because the disease had progressed severely.  The doctors had to amputate his leg at the knee.  This left him weak and unable to work.  To make matters worse, he couldn’t afford to pay for the medical treatments he needed to treat his high blood pressure and diabetes which he had developed.  All of these things began to take a toll on Balwant and he decided that death was the only way out.  It would relieve him of his suffering, take away his shame and lift the burden that caring for him placed on his family.  He thought of hanging himself but he had no strength in his hands or leg.  He decided that he would jump into the well near his house.

It was at this moment of despair, resignation and hopelessness that God intervened in Balwant’s life.  He sent a Gospel for Asia supported pastor and three Sisters of Compassion, specialized women missionaries to Balwant’s community.  After hearing about Jesus and how compassionate He is, Balwant, moved by this, opened up to the pastor and the missionaries and told them all that he was going through and his plan to end it all.

Pastor Daha and the sisters prayed for Balwant and used God’s Word to encourage him.  They prayed for him for many days and his health began to improve.  He felt a peace that was beyond comprehension–the peace only Jesus can offer.  Balwant began to see his life through God’s eyes–precious.

Pastor Daha and the missionaries visited Balwant and his wife regularly.  They showed the love of Christ through simple acts such as fetching water, chopping vegetables and even trimming Balwant’s nails, something he couldn’t do for himself.  Their care and Jesus’ love made Balwant want to live. “I was emotionally weak and thought to end my life,” he testified, “but I found Jesus in the right time.  I thank God that He loves me.”

Sadly, a few months after Balwant found Jesus, he fell ill with jaundice and died.  He was right.  He found Jesus at the right time and one day he will be among the resurrected dead who will spend eternity with the Lord.  On that glorious day when Jesus returns, Balwant will have a new and incorruptible body (1 Corinthians 15:52-54).

Every year, there are nearly 230,000 new cases of people diagnosed with leprosy. About 60 percent of those cases concern people living in India alone. While leprosy is a curable disease, many men, women and even children find themselves abandoned and scorned because of it. Like Balwant, they live with shame and hopelessness as their constant companions. But God is using His servants to give these precious people hope and new life in Him—and you can help – Gospel for Asia

Pray for those who are living with leprosy.  Their world is filled with so much shame and hopelessness. They are abandoned and scorned by relatives, friends and neighbors.  They are lonely and suffer from physical and emotional pain.  Help Gospel for Asia’s Leprosy ministry to bring love and hope filled life to these people.

Pray that, like Balwant, they will come to know Jesus who loves them and longs to heal them just as He did when He was here on earth.  He healed this man who had leprosy on his hands.  His big smile and perfectly fine hands testify that the Lord is still in the business of healing.  Read about how He also healed Radhika, a 19 year old leprosy patient whose husband left her.Pray for Gospel for Asia's Leprosy Ministry

You can help the GFA Leprosy Ministry by praying for:

  • the healing of leprosy patients
  • the missionaries who are going and sharing the Gospel with the leprosy patients
  • more medical personnel to care for and treat the patients
  • the children whose parents have leprosy

This year, for World Leprosy Day, let us join Gospel for Asia in raising awareness about the hopelessness and rejection that many leprosy patients face and the hope, love, joy and acceptance they can find in Jesus Christ.

Broken Heart Syndrome

You can die of a broken heart — it’s scientific fact — and my heart has been breaking since that very first day we met. I can feel it now, aching deep behind my rib cage the way it does every time we’re together, beating a desperate rhythm: Love me. Love me. Love me.
Abby McDonald, Getting Over Garrett Delaney

I recently learned about broken heart syndrome when Dr. Marla Shapiro was talking about it on TV. She mentioned that it was first described in 1990 in Japan as Takotsubo Cardiomyopathy.  Takotsubo is a Japanese term for an octopus trap because of the ballooning shape of the heart during an attack. What is broken heart syndrome?  It is a temporary heart condition caused by an extremely stressful event.  It is a recently recognized heart problem and it can strike you even if you are healthy.

People with broken heart syndrome think that they are having a heart attack when they have a sudden chest pain.  In broken heart syndrome, there is a temporary disruption of the heart’s normal pumping function while the rest of the heart functions normally or with more forceful contractions.

There may be shortness of breath, irregular heartbeats (Arrhythmias) or cardiogenic shock can occur. Cardiogenic shock occurs when a suddenly weakened heart can’t pump enough blood to meet the body’s needs.  This can be fatal it it is not treated right away.  In fact, Cardiogenic shock is the most common cause of death among people who die from heart attacks.  Any time you experience chest pain, you should call 911 and get emergency medical care.  All chest pain should be checked by a doctor.

Women are more likely than men to have broken heart syndrome.  It can be brought on by the death of a loved one, divorce, a break-up, physical separation, betrayal or romantic rejection, a frightening medical diagnosis, domestic abuse, natural disasters, job loss, asthma attack, car accident or major surgery.  It can even occur after a good shock such as winning the lottery.  It is more commonly seen among post-menopausal women. Research is ongoing to find out what causes this disorder and how to diagnose and treat it.

As mentioned before the most common symptoms of broken heart syndrome are chest pain, shortness of breath and very rapid or irregular heartbeat.  WebMD mentions two other symptoms, arm pain and sweating.  It is usually treatable.  Most people who experience it have a full recovery within weeks and and the risk of it happening again is low although in some rare cases it can be fatal.  The only way you can be certain if you have broken heart syndrome is for you to have some tests.  These tests used include the following:

  • Medical history and physical exam
  • Electrocardiogram
  • Chest x-ray
  • Echocardiogram
  • Blood tests
  • Coronary angiogram

If you have any questions about Broken Heart syndrome, please visit Seconds Count and download their PDF file.

A broken heart is a real condition.   In 2010 the Wall Street Journal wrote an article of a 63 year old woman named Dorothy Lee who lost her husband on night when they were driving home from a Bible Study group.  He had suffered from a heart attack. At the hospital after she learned of his death, Dorothy began to experience sudden sharp pains in her chest, felt faint and went unconscious.

An X-ray angiogram revealed that she hadn’t suffered a heart attack.  There was no blood clot and her coronary arteries were completely clear. Dorothy had suffered from broken heart syndrome.  It was triggered by the sudden loss of her husband of 40 years.  She was literally heartbroken.  Thankfully, she was at the hospital when she had her symptoms and she didn’t die although the episode severely weakened her heart.  She required a special balloon pump to support her left ventricle during the first couple of days in the hospital.  Five days later she was discharged.

Despite being cautioned by doctors, she attended her husband’s funeral. She was able work through her grief positively and spiritually.   To date she has had no effects of the heart episode.

It is extremely important that if you or someone else experience any chest pain that you don’t ignore it or feel embarrassed to call for help.  At the first sign of symptoms, get help. This can save your life or someone else’s life and limit the damage to the heart.

A broken heart is not just something out of a romance novel.  It is a reality.

 

 

broken heart syndrome

 

Sources:  American Heart Association; Mayo Clinic; National Heart, Lung and Blood Institute; Wikipedia; Women Heart; WebMD; Uptodate

Women and Shingles

I found out last week that my mother who suffers from Parkinson’s has Shingles.  From what I have seen of Shingles it looks very painful.  I wanted to find out more about it so I decided to surf the Internet and get as much information as I could.

What is Shingles?

Shingles, also known as herpes zoster or just zoster, occurs when a virus in nerve cells becomes active again later in life and causes a skin rash.

The virus that causes shingles, the varicella-zoster virus, is the same virus that causes chickenpox. It is a member of the herpes virus family. Once you have had chickenpox, varicella-zoster virus remains in your body’s nerve tissues and never really goes away. It is inactive, but it can be reactivated later in life. This causes shingles.

Doctors aren’t sure how or why the varicella-zoster virus reactivates, but they believe your immune system’s response to the virus weakens over the years after childhood chickenpox. When the virus reactivates, it travels through nerves, often causing a burning or tingling sensation in the affected areas. Two or three days later, when the virus reaches the skin, blisters appear grouped along the affected nerve. The skin may be very sensitive, and you may feel a lot of pain.

If you have had chickenpox, you are at risk of developing shingles. However, the virus doesn’t reactivate in everyone who has had chickenpox. Shingles most often appears in people older than 50 and in people with weakened immune systems. If you are having treatment for cancer, for example, you are more likely to get shingles. People with HIV commonly get shingles, which is often one of the first signs that the immune system is in trouble.  Your chances of getting shingles increase as you get older, although the disease can occur at any age. When shingles appears in children, which is uncommon, it usually is very mild. Up to 20% of people in the United States develop the disease at some point (Women’s Health).

None of my sisters nor I ever have Chicken Pox as a child but later when we as adults, my sister and I got it from our mother.  I still have the marks.  I am hoping that I am one of the people in whom the virus does not reactivate.

 

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Recently I have seen a commercial where a person has Shingles and it looks painful.  The rash on one side of  the man’s body looked red and very painful.  When I browsed the Internet, I saw pictures that made me cringe.  How those people must have suffered.  I think of my mother and I hope and pray that she isn’t in much pain.

What are the symptoms?

Pain

Symptoms of shingles are similar in men and women. The first and most common symptom of shingles is usually pain. This pain typically occurs before any rash is present and is sometimes called the warning stage of shingles. Women often describe a tingling, burning pain or an area of intense sensitivity on their skin. This often happens in a small area that is on one side of the body only. The pain may be mild or intense enough to require treatment with painkillers. The pain may last for a few days, may come and go or may be constant. It may continue once the rash and blisters form and usually lessens when the rash disappears.

Rash and Blisters

Another symptom of shingles is a rash that turns into fluid-filled blisters. This usually appears a few days or a week after skin pain starts. The blisters form a crusty scab in about 7 to 10 days and typically clear up in 2 to 4 weeks. The difference between the rash of chickenpox and that of shingles is that shingles usually appears on one side of the body only. Shingles commonly appears in a belt-like band around the midsection, corresponding to skin along the path of one nerve. Sometimes the rash appears on one side of the face and follows the major facial nerve, or it can involve more than just a single area of skin. Some cases of shingles have only a few or even no blisters. A shingle diagnosis can be missed in this case. Shingles without any rash or blisters is called zoster sine herpete.

Other Symptoms

Once the rash appears, women sometimes report flu-like symptoms, such as headache, upset stomach, fever and chills. About half of the people who have rash along the facial nerve experience eye complications. These complications are generally seen as inflammation of different parts of the eye and may involve a mucus or pus-like discharge and sensitivity to light. Eye problems from shingles are very serious and should be evaluated by a doctor immediately. Some women experience a condition called postherpetic neuralgia. This condition is pain that continues even after the shingles rash is gone. The pain has been described as a constant burning that hurts to the touch or pressure from clothing. It usually resolves on its own, but resolution can take 6 months to a year or even longer (Live Strong).

 

Shingles and pregnancy

Pregnant women can get shingles, but it is rare. While chickenpox can pose a very serious risk to a fetus, there is almost no risk to the fetus if the mother gets shingles. The symptoms of shingles are the same in pregnant and non-pregnant women. Any area of skin that has pain, tingling, itching or burning — even without a rash or blister — should be brought to the attention of a doctor, as this could be the early stages of shingles (Live Strong).  Thankfully, I got chickenpox years before I got pregnant.

 

Does Shingles affect women differently from men? According to Centers for Disease Control and Prevention (CDC):

  • Most, but not all, studies found that more women than men develop herpes zoster [1,2]; the reason for a possible difference between women and men is not known.
  • Some studies conducted in the United States and elsewhere found that herpes zoster is less common in blacks (by at least 50%) than in whites.[3]

 

How is Shingles Treated?

Self-care

If you develop the shingles rash, there are a number of things you can do to help relieve your symptoms, such as:

  • keeping the rash as clean and dry as possible – this will reduce the risk of the rash becoming infected with bacteria
  • wearing loose-fitting clothing – this may help you feel more comfortable
  • not using topical (rub-on) antibiotics or adhesive dressings such as plasters – this can slow down the healing process
  • using a non-adherent dressing (a dressing that will not stick to the rash) if you need to cover the blisters – this avoids passing the virus to anyone else

Calamine lotion has a soothing, cooling effect on the skin and can be used to relieve the itching.

If you have any weeping blisters, you can use a cool compress (a cloth or a flannel cooled with tap water) several times a day to help soothe the skin and keep blisters clean.

It’s important to only use the compress for around 20 minutes at a time and stop using them once the blisters stop oozing. Don’t share any cloths, towels or flannels if you have the shingles rash.

Antiviral medication

As well as painkilling medication, some people with shingles may also be prescribed a course of antiviral tablets lasting 7 to 10 days. Commonly prescribed antiviral medicines include aciclovir, valaciclovir and famciclovir.

These medications cannot kill the shingles virus, but can help stop it multiplying. This may:

Antiviral medicines are most effective when taken within 72 hours of your rash appearing, although they may be started up to a week after your rash appears if you are at risk of severe shingles or developing complications.

Side effects of antiviral medication are very uncommon, but can include:

 

Can Shingles Be Prevented?

Currently, there is no way to predict an outbreak of shingles.  Researchers have shown that giving older people a stronger form of the chicken pox vaccine used for children can boost the type of immunity believed necessary to hold the virus in check. Zostavax, a shingles vaccine developed by Merck, has been approved by the FDA. An initial study in people with HIV showed that Zostavax was safe and effective (The Body).

 

Is Shingles Contagious?

Shingles is not contagious (able to spread) in the sense that people who are exposed to a patient with shingles will not “catch shingles.” Anyone who has already had chickenpox or has received the chickenpox vaccine, and is otherwise healthy, should be protected and at no risk when around a patient with shingles. However, people who have never had chickenpox and have not received the chickenpox vaccine are susceptible to infection by a patient with shingles. These susceptible people, if exposed to the shingles virus, will not develop shingles, but they could develop chicken pox. However, people who have never had chickenpox and have not received the chickenpox vaccine are susceptible to infection by a patient with shingles. These susceptible people, if exposed to the shingles virus, will not develop shingles, but they could develop chicken pox. Such susceptible individuals include babies, young children, and unvaccinated individuals, so people with shingles are actually contagious for VZV infections in the form of chickenpox. Consequently, these individuals may get shingles at a later time in life, as can anyone who has had chickenpox. Covering the rash that occurs with shingles with a dressing or clothing helps decrease the risk of spreading the infection to others. Pregnant women are not unusually susceptible to shingles but if shingles develops near the end of pregnancy, the fetus may be harmed (eMedicineHealth).

 

Vaccines for Shingles

The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they’ve already had shingles or not. Although the vaccine is approved for people age 50 and older, the Centers for Disease Control and Prevention isn’t recommending it until you reach age 60.

The shingles vaccine is a live vaccine given as a single injection, usually in the upper arm. The most common side effects of the shingles vaccine are redness, pain, tenderness, swelling and itching at the injection site, and headaches.

Some people report a chickenpox-like rash after getting the shingles vaccine.

Although some people will develop shingles despite vaccination, the vaccine may reduce the severity and duration of it.

The shingles vaccine isn’t recommended if you:

  • Have ever had an allergic reaction to gelatin, the antibiotic neomycin or any other component of the shingles vaccine
  • Have a weakened immune system due to HIV/AIDS or another disease that affects the immune system
  • Are receiving immune system-suppressing drugs or treatments, such as steroids, adalimumab (Humira), infliximab (Remicade), etanercept (Enbrel), radiation or chemotherapy
  • Have cancer that affects the bone marrow or lymphatic system, such as leukemia or lymphoma
  • Are pregnant or trying to become pregnant

The cost of the shingles vaccine may not be covered by Medicare, Medicaid or insurance.  Check your plan (Mayo Clinic).  One of my co-workers got the vaccine this year and recommends that I get one too.

 

shingles-s16-photo-of-woman-receiving-vaccine

 

Is there a Cure?

There is no cure for shingles, but treatment can help ease your symptoms until the condition improves. In many cases, shingles gets better within around two to four weeks.  However, it’s still important to see your GP as soon as possible if you recognize the symptoms of shingles, as early treatment may help reduce the severity of the condition and the risk of potential complications (NHS Choices).

 

Caring for Shingles

How to care for a Patient with Shingles

If you are helping to care for someone with shingles and particularly if they are elderly, then here are some ideas to make life more comfortable for them:

  • As soon as the rash appears and has been diagnosed as shingles, start treatment. If treatment can be commenced within two or three days of the outbreak, the shingles will be less severe and there is less chance of the patient going on to suffer from postherpetic neuralgia.
  • You cannot catch shingles by touching the sore skin or the bed or chair where the person has been lying or sitting so if wearing less clothing will make the patient more comfortable then encourage this. Some people with shingles are very sensitive to touch so try to touch only the side of the body that does not have the rash.
  • You can catch chicken pox from a person with shingles blisters so keep anyone who has never had chicken pox away from the patient.  (This particularly applies to pregnant women where there is a danger to the unborn fetus).
  • Relieve any discomfort with cool compresses unless your patient finds it makes the pain worse.
  • Look for ways to relieve the stress of the pain for your patient such as meditation or listening to soothing music.
  • Make sure your patient has a pain reliever if necessary and you may need a prescription for something to help insomnia if this is a problem. In some cases, the pain can be very severe and with such pain, it is hard to find a comfortable position whether sitting, lying down or walking around.  Your patient needs as much sleep as possible.
  • Constant pain can affect your patient’s appetite – try to encourage your patient to eat well (you may need to provide extra tasty treats).
  • Constant pain can also make your patient cross, sad or depressed – this will need extra patience and kindness on your part (Healing Natural Oils).

My mother is doing well.  She is on an anti-viral drug and not in any pain.  I was relieved to find out that her blisters are on her arm and not on her face.  She is frustrated because she is quarantined but the nursing home has to do what is best for all the residents.  I hope she gets better soon.  In the meantime, my family and I will do as she requested and stay away.

If you have a loved one who has Shingles, call them often.   Hearing from you may bring them some comfort.

 

Sources:  Live Strong; Women’s Health; Mayo Clinic; The Body; CDC; eMedicine Health; Healing Natural Oils

Women and Postpartum Depression

For 1 in 8 women, new motherhood is anything but joyous – Health.com

Mother In Nursery Suffering From Post Natal Depression

Postpartum depression is a very real and very serious problem for many mothers. It can happen to a first time mom or a veteran mother. It can occur a few days… or a few months after childbirth – Richard J. Codey

Recently on the news I saw that Drew Barrymore admitted that she suffered from postpartum depression after she had her second daughter.  It was a short-lived experience.  It lasted about six months. She was grateful for the experience because it was a constant reminder to stay present in the moment.  Her motto was, “one thing at a time.”

I have heard quite a bit about postpartum depression but this time I wanted to educate myself about it and my heart was touched by the experiences women go through.  First of all, I want to point out that it’s a real and serious condition.   I was appalled at how women with postpartum depression were treated.  Stigma, disbelief and lack of support from others prevent them from getting the treatment they desperately need.  So, they suffer in silence.  How terrible it is for a woman who has images of her child drowning in the bathtub or being smothered on his burp cloth, fearing for her sanity but is afraid to say anything so she keeps it from her husband for as long as she could. And how sad it is that a woman should feel judged for taking antidepressants for postpartum depression because of the mistaken belief that depressed mothers are self-centered and weak.

Women who have postpartum depression feel a triple whammy of the stigma reserved for people with mental illnesses.  Not only are they brought down by what many expect to be the happiest even in a woman’s life–the birth of a child–but also total honesty about their emotional state could invite scorn or even a visit from social services (Health.com).  

“We’re suffering from an illness that cannot be seen.  We don’t have a fever, swelling, vomiting, or diarrhea.  No open wounds that will not heal–at least not the kind you can see with the naked eyes.  So, many wonder if we’re really sick at all – Katherine Stone

Psychologist Shoshana Bennett, founder and director of Postpartum Assistance for Mothers endured two life-threatening postpartum depressions in the mid-1980s, at the time when help for women in her condition was hard to find.  “I was quite suicidal.  My doctor told me to go and get my nails done,” Bennett recalls.  Can you imagine going to your doctor because you are feeling suicidal and being told to go and get your nails done?  It didn’t help that she had an unsympathetic mother-in-law who, believe it or not, had been a postpartum nurse for years.  The mother-in-law had given birth to five children and had not suffered from baby blues with any of them.  When Bennett’s husband asked his mother what was wrong with his wife, her response was, “She’s spoiled.  It’s not just about her anymore.”

Bennett’s husband was angry, confused and upset with her.  Bennett hated herself and things got worse after her first child was born.   She was 40 pounds overweight and very depressed.  She went to her ob-gyn for help.  When she told him, “If life’s gonna be like this, I don’t wanna be here.”  His response?  He laughed and said that all women go through this.  So, there was Bennett, suffering from postpartum depression, with no support or help.  It was her own experience that motivated her to become a licensed therapist, specializing in postpartum depression so that she could counsel women who are going through what she did.

Sometimes women are given medications with terrible side effects.  Katherine Stone experienced this when the first psychiatrist she went to treated her with four or five medications.  She had to find a practitioner who specialized in the treatment of postpartum mental disorders.  She discovered the hard way that no all psychiatrists are experts in treating postpartum depression. “So many psychiatrists don’t understand the condition, don’t have the tools to treat this, and aren’t trained in varying ways in which women with this disorder need to be cared for,” she says.

It is recommended that you ask your ob-gyn, nurses and social workers if the hospital in which you delivered offers postpartum depression services or sponsors support groups for new moms. Ruta Nonacs, MD, Associate Director of the Center for Women’s Health at Massachusetts General Hospital in Boston, recommends, “Call Postpartum Support International (800-944-4773) to find a support group near you.  I also recommend seeing your family doctor.  They’re treating people with depression all the time and can also help with referral to a therapist.”

How can you tell that you have postpartum depression?  There are three postpartum conditions – baby blues, depression and psychosis.  Here are the symptoms outlined by Mayo Clinic:

Postpartum baby blues symptoms

Signs and symptoms of baby blues — which last only a few days to a week or two after your baby is born — may include:

  • Mood swings
  • Anxiety
  • Sadness
  • Irritability
  • Feeling overwhelmed
  • Crying
  • Reduced concentration
  • Appetite problems
  • Trouble sleeping

Postpartum depression symptoms

Postpartum depression may be mistaken for baby blues at first — but the signs and symptoms are more intense and last longer, eventually interfering with your ability to care for your baby and handle other daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may begin later — up to six months after birth.

Postpartum depression symptoms may include:

  • Depressed mood or severe mood swings
  • Excessive crying
  • Difficulty bonding with your baby
  • Withdrawing from family and friends
  • Loss of appetite or eating much more than usual
  • Inability to sleep (insomnia) or sleeping too much
  • Overwhelming fatigue or loss of energy
  • Reduced interest and pleasure in activities you used to enjoy
  • Intense irritability and anger
  • Fear that you’re not a good mother
  • Feelings of worthlessness, shame, guilt or inadequacy
  • Diminished ability to think clearly, concentrate or make decisions
  • Severe anxiety and panic attacks
  • Thoughts of harming yourself or your baby
  • Recurrent thoughts of death or suicide

Untreated, postpartum depression may last for many months or longer.

Postpartum psychosis

With postpartum psychosis — a rare condition that typically develops within the first week after delivery — the signs and symptoms are even more severe. Signs and symptoms may include:

  • Confusion and disorientation
  • Obsessive thoughts about your baby
  • Hallucinations and delusions
  • Sleep disturbances
  • Paranoia
  • Attempts to harm yourself or your baby

Postpartum psychosis may lead to life-threatening thoughts or behaviors and requires immediate treatment.

For more information such as when to see a doctor, what your options are or how you can help a friend or a loved one, click on this link.

Why do some women suffer from postpartum depression while others don’t?  According to Marcie Ramirez, Middle Tennessee coordinator for Postpartum Support International, “People with a history of mental illness have a high risk, as do people on either end of the age spectrum–young mothers or older mothers.  If you have a history of minor depression, panic attacks, or OCD (Obsessive Compulsive Disorder), you are at a higher risk for postpartum depression.  A mother who experiences a traumatic birth is more likely to develop postpartum depression, as are new mothers who have a history of sexual abuse.  Bipolar disorder is a big indicator for postpartum psychosis, a very serious form of postpartum depression that affects about 1 to 2 out of every 1,000 new moms.”

Other predictors of postpartum depression are:

  • marital difficulties
  • stressful life events such as financial problems or loss of a job
  • childcare stress
  • inadequate social support
  • having to are for a child with a difficult temperament
  • low self-esteem
  • unplanned or unwanted pregnancy
  • being single
  • lower socioeconomic status
  • postpartum blues (Babycenter.com)

An article in the Daily Mail says that a woman’s risk of post-natal depression increases if she has a Caesarean section.  According to researchers, women were 48 per cent more likely to experience depression if they had a planned procedure rather than an emergency one.  Some women choose to have a Caesarean because they are afraid to give birth naturally, have had a previous childbirth trauma or want the convenience of a scheduled delivery.

Postpartum depression should be taken seriously.  Women are so overcome with fear and anxiety that they are afraid to be in the same room with their babies.  This affects them being able to bond with their babies which is vital to their development.  Women need to talk about their feelings, no matter how painful they are.  They need the support of their husbands and families.  “A functioning, healthy mom is vital to the family unit, and getting mothers with postpartum depression professional help can ensure that they avoid years of needless depression,” says Ramirez.

Advice for mothers who are experiencing depression is, “do what’s best for yourself so you can do what’s best for your baby” (Health.com).    Ann Dunnwold, PHD, a Dallas-based psychologist who specializes in postpartum depression, says, “The key is to have it on your own terms.  Sometimes the mother-in-law will come over to be with the baby, but what the new mom needs is for her to do the laundry.  To help, everyone needs to ask themselves what the mom really wants.”

There is hope for women suffering from postpartum depression.  The key is finding a health professional who specializes in treating it and who won’t brush you off or make light of it.  There are medications and treatments that can relieve or even reverse postpartum mood disorders. Don’t wait to get help.  Don’t suffer in silence.  Speak up.

If you know a woman who is going through postpartum depression or are married to one, please help out as much as you can.  Make sure that she gets enough sleep and encourage her to speak with her healthcare provider.  Encourage her to get some kind of support.

If you are suffering from postpartum depression, here is a list of postpartum depression support groups.  Perhaps reading stories of mothers going through what you are going may help. You’re not alone.   Help and hope are available for you.

Mature woman gives solace to crying adult daughter

Mature woman gives solace to crying adult daughter

Sources:   http://celebritybabies.people.com/2015/10/21/drew-barrymore-postpartum-depression-people-cover/?xid=rss-topheadlinesMayo Clinic; Baby Center; Postpartum Depression Progress; Health.com; Daily Mail; Brainy Quotes; Healthscope